JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Jackson Hospital & Clinic Inc

2 / 5

At a glance

Jackson Hospital & Clinic Inc carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 0 and worse on 12.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit1.039Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.647Worse than national
Central Line Associated Bloodstream Infection: Number of Device Days4609Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.888Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases10Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards)2.046Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.426Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.337Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12268Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases15.262Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases12Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.786Same as national
SSI - Colon Surgery: Lower Confidence Limit0.223Same as national
SSI - Colon Surgery: Upper Confidence Limit2.383Same as national
SSI - Colon Surgery: Number of Procedures124Same as national
SSI - Colon Surgery: Predicted Cases3.426Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.876Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures47Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.470Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit1.653Worse than national
MRSA Bacteremia: Upper Confidence Limit5.802Worse than national
MRSA Bacteremia: Patient Days54724Worse than national
MRSA Bacteremia: Predicted Cases3.072Worse than national
MRSA Bacteremia: Observed Cases10Worse than national
MRSA Bacteremia3.255Worse than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.748Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.415Same as national
Clostridium Difficile (C.Diff): Patient Days52815Same as national
Clostridium Difficile (C.Diff): Predicted Cases36.487Same as national
Clostridium Difficile (C.Diff): Observed Cases38Same as national
Clostridium Difficile (C.Diff)1.041Same as national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.1Same as national1020
Death rate for heart attack patients11.7Same as national142
Death rate for CABG surgery patients3Same as national76
Death rate for COPD patients7.8Same as national79
Death rate for heart failure patients13Same as national273
Death rate for pneumonia patients20.8Worse than national261
Death rate for stroke patients14.3Same as national124
Pressure ulcer rate0.83Same as national3692
Death rate among surgical inpatients with serious treatable complications176.11Same as national43
Iatrogenic pneumothorax rate0.17Same as national4424
In-hospital fall-associated fracture rate0.31Same as national4478
Postoperative hemorrhage or hematoma rate1.75Same as national1058
Postoperative acute kidney injury requiring dialysis rate1.46Same as national293
Postoperative respiratory failure rate6.49Same as national327
Perioperative pulmonary embolism or deep vein thrombosis rate3.08Same as national1025
Postoperative sepsis rate5.62Same as national299
Postoperative wound dehiscence rate1.64Same as national266
Abdominopelvic accidental puncture or laceration rate0.88Same as national875
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients0.6Not available141
Hospital return days for heart failure patients0.2Not available321
Hospital return days for pneumonia patients10.2Not available260
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.8Same as national1592
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national401
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national94
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.9Same as national94
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national352
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national141
Rate of readmission for CABG9.9Same as national71
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national87
Heart failure (HF) 30-Day Readmission Rate20Same as national321
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16Same as national260

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating3660
Doctor communication - star rating3660
Communication about medicines - star rating2660
Discharge information - star rating2660
Cleanliness - star rating1660
Quietness - star rating4660
Overall hospital rating - star rating3660
Recommend hospital - star rating3660
Summary star rating3660

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumehigh
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia919509
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination312944
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better1431590
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better1411493
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better14949
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better18551
Left before being seen153927
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients95128
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing103256
Appropriate care for severe sepsis and septic shock90321
Septic Shock 3-Hour Bundle9789
Septic Shock 6-Hour Bundle9864
Severe Sepsis 3-Hour Bundle95322
Severe Sepsis 6-Hour Bundle94218
Discharged on Antithrombotic Therapy98201
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 288192
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Jackson Hospital & Clinic Inc rated?
Jackson Hospital & Clinic Inc has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Jackson Hospital & Clinic Inc have emergency services?
Yes. Jackson Hospital & Clinic Inc operates a 24/7 emergency department.
Where is Jackson Hospital & Clinic Inc located?
Jackson Hospital & Clinic Inc is located at 1725 Pine Street, Montgomery, AL 36106.
What type of hospital is Jackson Hospital & Clinic Inc?
Jackson Hospital & Clinic Inc is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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